STEVEN W MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047128427

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

MOORE

Suffix

Business Name

STEVEN W MOORE OD

Original Issue Date

09/13/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/11/2005